Fri Feb 21 2025

117 articles - From Friday Feb 14 2025 to Friday Feb 21 2025

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Guidelines

Guidelines and related publications, position statements, white papers, technical reviews, consensus statements, etc…

Endosc Int Open

Unifying terminology, reporting, and bowel preparation standards in colon capsule endoscopy: Nyborg Consensus.

This study established a framework for terminology, reporting, and assessment of bowel cleansing for CCE. Future research should focus on optimizing bowel preparation regimens and exploring artificial intelligence applications in CCE.

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Hepatology

Letter to the Editor: Resmetirom therapy for metabolic dysfunction-associated steatotic liver disease: October 2024 updates to AASLD practice guidance.

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Meta-analysis

meta-analyses and systematic reviews

Am J Gastroenterol

Correction to: Medical Therapies for Prevention and Treatment of Inflammatory Pouch Disorders-A Systematic Review and Meta-Analysis.

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Endosc Int Open

Over-the-scope clips vs standard endoscopic interventions for first-line treatment of NVUGI bleeding: Meta-analysis of randomized trials.

OTSCs are more efficient than SEIs as first-line treatment in terms of rebleeding within 30 days and clinical success rates.

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Texture and color enhancement imaging versus white light imaging for the detection of colorectal adenomas: Systematic review and meta-analysis.

Our meta-analysis demonstrates that TXI significantly improves detection of colorectal adenomas in patients undergoing colonoscopy for various indications. TXI has the potential to improve overall quality of colonoscopy and contribute to colorectal cancer prevention.

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Gastrointest Endosc

Endoscopic Band Ligation Versus Argon Plasma Coagulation in the Treatment of Gastric Antral Vascular Ectasia: A Systematic Review and Meta-Analysis.

EBL demonstrated better eradication with fewer treatment sessions, recurrent bleeding, hospitalization and transfusion requirements as compared to APC. It is time that EBL be utilized as the first-line endoscopic treatment for GAVE.

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Original articles

RCT, clinical trials, retrospective studies, etc…

Aliment Pharmacol Ther

Addressing the High and Rising Global Burden of Metabolic Dysfunction-Associated Steatotic Liver Disease (MASLD) and Metabolic Dysfunction-Associated Steatohepatitis (MASH): From the Growing Prevalence to Payors' Perspective.

Prioritising the prevention of metabolic dysregulation and timely therapeutic interventions can yield a holistic strategy to combat MASLD, its progression and potentially lower disease costs. NCT06309992.

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Air Pollution Associated With Mortality Among Chronic Hepatitis B Patients Treated With Nucleotide/Nucleoside Analogues.

Results All-cause mortality showed an annual incidence of 1.1/100 person-years after a follow-up period of 3798.1 person-years. Factors with the strongest association with all-cause mortality were liver cirrhosis (hazard ratio [HR]/95% confidence interval [CI]: 3.95/1.69-9.23; p = 0.02), age ([HR]/CI: 1.07/1.03-1.17, p exposure may increase liver-related mortality in patients with chronic hepatitis B and cirrhosis receiving nucleotide/nucleoside analogue treatment.

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Association of Healthy Lifestyle Behaviours With Incident Inflammatory Bowel Disease: A Population-Based Prospective Cohort Study.

Healthy lifestyle behaviours are significantly associated with lower IBD incidence in middle-aged and elderly individuals, suggesting the potential of lifestyle modifications as a primary prevention strategy for IBD.

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Challenges in Histological Endpoints for MASH Therapies: An Exercise in Statistical Modelling.

Imprecise histologic scoring disproportionately impacts the 'superior' arm as the error is proportional to the true response rate. This dilution of effect size should be considered when weighing the clinical benefit and the overall risk-benefit profile in the review of NASH studies. This argues for the adoption of non-invasive biomarkers rather than histologic endpoints.

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Clinical Course and Prognosis of Long-Term Survivors of Hepatocellular Carcinoma.

Our study highlights that a significant proportion of patients with HCC achieve long-term survival beyond 5 years, with favourable outcomes associated with curative treatments.

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Clinical Trial to Assess the Safety and Tolerability of Anti-IL 23 Monoclonal Antibody Guselkumab in Patients With Alcohol-Associated Liver Disease.

Guselkumab is safe in doses up to 100 mg and may reduce inflammation markers in ALD. These findings support further phase 2 studies to evaluate the efficacy of guselkumab in ALD, particularly in patients with severe phenotypes.

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Clinical Trial: The Effects of Emulsifiers in the Food Supply on Disease Activity in Crohn's Disease: An Exploratory Double-Blinded Randomised Feeding Trial.

Recommendations to avoid emulsifiers in patients with active CD are not supported. Australian New Zealand Clinical Trials Registry (ACTRN12619001099112).

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Comparison Between Dynamic Models for Predicting Response to Corticosteroids in Alcohol-Associated Hepatitis: A Global Cohort Study.

Dynamic models-Lille-4, Lille-7, trajectory of serum bilirubin (TSB), and neutrophil-to-lymphocyte ratio (NLR)-were used to estimate 30- and 90-day mortality. Lille-7 demonstrated the highest accuracy for both 30- and 90-day mortality.

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Metabolic Dysfunction-Associated Steatotic Liver Disease (MASLD) Impacts Long-Term Outcomes After Curative-Intent Surgery for Hepatocellular Carcinoma.

Patients with HCC undergoing LR and meeting the new MASLD criteria have significantly shorter OS. This study provides empirical prognostic evidence for the novel MASLD/MetALD classification in a large European cohort of patients undergoing curative-intent HCC therapy.

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Post-TIPS Overt Hepatic Encephalopathy Increases Long-Term but Not Short-Term Mortality in Cirrhotic Patients With Variceal Bleeding: A Large-Scale, Multicenter Real-World Study.

Post-TIPS OHE does not affect short-term survival but significantly increases long-term mortality risk. These findings highlight the need for continuous monitoring and tailored interventions to improve long-term outcomes in post-TIPS patients.

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Prevalence and Predictors of Suspected Metabolic Dysfunction-Associated Steatotic Liver Disease in Adolescents in the United States.

Most adolescents with elevated ALT met MASLD criteria, yet a portion lacked cardiometabolic risk factors or other identifiable causes. These results support the adoption of MASLD criteria in adolescents while indicating a need for further research into cryptogenic ALT elevation in paediatric populations.

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Am J Gastroenterol

Contemporary Landscape of Medical Technology in Gastroenterology Between 2013 and 2023.

Twelve devices (63.2%) had fsavorable, published cost-effective data. To promote evidence-based discussion and uptake of new technology, and especially disruptive or high-risk technology, we propose a practical framework informed by balancing probable efficacy and safety and considering cost-effectiveness.

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Identifying Metabolic Dysfunction-Associated Steatotic Liver Disease Using Natural Language Processing in a US National Cohort.

This algorithm identified 299,259 (36.5%) of the study cohort with MASLD, compared with 23,218 patients (2.8%) identified using International Classification of Diseases-9/10 codes. An algorithm combining rule-based NLP with cardiometabolic risk factors and alcohol use from EHRs accurately identifies and classifies SLD and can be applied in large epidemiologic studies of SLD in the Veterans Health Administration.

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Inflammatory Bowel Disease, Periconceptional Disease Activity, and Risk of Major Congenital Anomalies: A Nationwide Cohort Study.

Children of women with IBD had a heightened susceptibility to mCAs, although absolute and relative risks were lower than previously reported. IBD activity was not linked to mCA risks, but those analyses included relatively few events.

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Molecular Triggers of Non-celiac Wheat Sensitivity: A Scoping Review and Analysis.

Gluten is the most extensively investigated wheat component linked to NCWS, but evidence for its role is inconsistent and undermined by methodological limitations. No direct evidence currently links wheat fermentable carbohydrates, ATIs, or other components to NCWS symptoms. The existing evidence is insufficient to justify restricting specific components of wheat in the management of NCWS. Future studies must overcome the identified gaps to rigorously investigate the role of wheat and related cereals in NCWS, with the potential to advance diagnosis and treatment.

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Risk of Post-polypectomy Bleeding After Colorectal Endoscopic Mucosal Resection in Patients With Cirrhosis: A Propensity-Matched Analysis of the US Collaborative Network.

Optimizing patients with cirrhosis, especially with decompensated disease, before colorectal EMR and monitoring for post-procedure bleeding remain important. A conservative, supportive approach to managing bleeding in patients with cirrhosis may be as effective as in those without cirrhosis.

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Clin Gastroenterol Hepatol

Long-Term Safety and Efficacy of Budesonide Oral Suspension for Eosinophilic Esophagitis: a 4-Year, Phase 3, Open-Label Study.

Long-term treatment with BOS was well tolerated. Despite dosing changes/interruptions, approximately half of patients achieved/maintained a histologic response; initial improvements in endoscopic outcomes were maintained over 48 months.

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Endosc Int Open

Digestive endoscopic removal of cocaine pellets: Safety evaluation.

Endoscopic removal of micro-industrially-produced cocaine pellets seems to be a safe and effective method. Therefore, endoscopy has a place in management of these patients.

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Endoscopic closure using a dedicated device following gastric endoscopic submucosal dissection: Multicenter, prospective, observational pilot study.

Closure using FLEXLOOP is feasible and safe. Our technique using this new device can be an attractive option for more easily closing mucosal defects. However, further clinical research is warranted to confirm that this technique can prevent delayed complications.

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Endoscopic features of solitary colorectal hamartomatous polyps: Solitary juvenile polyp and Peutz-Jeghers polyp.

Solitary JPs and PJPs in the colorectum manifested characteristic endoscopic findings, and combinations of specific characteristic endoscopic findings may be useful for endoscopic diagnosis of solitary JPs and PJPs.

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Endoscopic grading of gastric intestinal metaplasia using blue light imaging in a low-risk population: Multicenter cross-sectional validation study.

Our study validates BLI integrated with the EGGIM system as an effective strategy, highlighting its precision in identifying advanced GIM stages. BLI's notable sensitivity enhances its use as a complementary tool to WLE, significantly improving gastric cancer risk assessment.

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Endoscopic hemostasis with a self-expandable metal stent as bridge therapy for hemobilia.

Endoscopic hemostasis using SEMS for hemobilia appeared to be a feasible bridge therapy.

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GLP-1 receptor agonist use does not increase risk of respiratory complications post-endoscopy.

GLP-1 RA use before endoscopy does not increase respiratory complications, supporting continued preoperative medication use.

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Glasgow-Blatchford and Rockall score utility in predicting findings on video capsule endoscopy in patients admitted with overt small bowel bleeding.

GBS and Rockall scores were useful in predicting relevant findings on CE in this cohort of patients with suspected OSBB. In patients with GBS 5 or higher, early CE during the same admission is warranted.

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Improved outcomes of endoscopic treatment for delayed perforation following endoscopic submucosal dissection for gastric epithelial neoplasms.

Endoscopic intervention using PGA sheets and OTSC was associated with a low incidence of required surgery for delayed perforation after gastric ESD and is recommended.

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Novel submucosal injection material comprising fully synthetic and self-assembling peptide solution in endoscopic submucosal dissection: A pilot study.

No postoperative bleeding or delayed perforation was observed in any patient. The novel injectable material, PuraLift, can potentially ensure safe and feasible ESD.

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Patient adherence to surveillance colonoscopy after endoscopic resection of colorectal polyps and factors associated with loss to follow-up.

Nearly half of patients undergoing ER of colorectal polyps ≥ 20 mm are lost to follow-up. We identified several patient- and healthcare-related factors as barriers to SC adherence. Strategies to address these issues and targeting of high-risk populations are urgently needed to enhance SC programs.

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Predictive factors for early mortality after EUS-guided gastroenterostomy in malignant gastric outlet obstruction.

EUS-GE should be carefully considered for patients with ascites which was an independent predictor for early mortality after procedure in mGOO, especially those with grade 2 or higher level of ascites.

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Predictive factors for long-term patency in duodenal stenting for malignant gastric outlet obstruction.

Treatment of malignant GOO with duodenal SEMS is effective but the reintervention rate is high. Predictors of stent patency were jaundice, semi- or fully-covered SEMS, and chemotherapy. Survival was impaired by jaundice and stent dysfunction.

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Pull-through endoscopic vacuum-assisted closure therapy for complicated leaks of the gastrointestinal tract: Novel technique.

Pull-through EVAC therapy is safe and effective in patients with large and challenging postsurgical leaks of the upper gastrointestinal tract.

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Radiographic, fluoroscopic, and endosonographic predictors of failed EUS-guided transgastric stent placement in patients with Roux-en-Y bypass anatomy.

Radiographic features may predict GATE failure including intervening vasculature or insufficient contact between gastric pouch/blind limb and remnant. Patients demonstrating these features may benefit from alternative treatment approaches early in management.

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US multicenter outcomes of endoscopic ultrasound-guided gallbladder drainage with lumen-apposing metal stents for acute cholecystitis.

EUS-GBD with LAMS has a high rate of long-term clinical success and modest AE rates in patients with AC and is a reasonable destination therapy for high-risk surgical candidates.

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Utility of cholangioscopy in patients with surgically altered anatomy after percutaneous transhepatic biliary drainage.

SpyGlass cholangioscopy, although challenging, is a safe option for intrahepatic stones and strictures with excellent short-term outcomes and minimal complications.

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Endoscopy

Cold snare endoscopic mucosal resection versus standard hot technique for large flat non-pedunculated colonic lesions: Results of the CS-EMR 2019 randomized controlled trial.

Compared with the conventional hot technique, the RR of LFNPCL after CS-EMR was significantly greater. A similar safety profile was found between groups.

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In-hospital Mortality in Patients with Lower Gastrointestinal Bleeding: Development and Validation of a Prediction Score.

A new validated score effectively predicts in-hospital mortality in LGIB patients, aiding in risk stratification and management.

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Outcomes after radical endoscopic resection of high-risk T1 esophageal adenocarcinoma: an international multicenter retrospective cohort study.

Our findings present low rates of LNM after radical ER of high-risk T1 EAC, consistent with other endoscopy-focused studies. Post-surgical patients are still at risk for metastasis and disease-specific mortality. These results suggest that endoscopic surveillance is suitable for selected cases, but further prospective studies are needed to refine patient selection and confirm optimal outcomes.

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Technical failure of endoscopic ultrasound choledocoduodenostomy: Multicenter case-control study on rescue techniques, consequences and risk factors.

EUS-CDS failures are not rare and are severe in half of the cases. Recognizing risk factors, identifying failures during the procedure, and knowing endoscopic salvage methods are crucial.

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Gastroenterology

TREM2 depletion in pancreatic cancer elicits pathogenic inflammation and accelerates tumor progression via enriching IL-1β+ macrophages.

TREM2 depletion accelerates tumor progression by enhancing pro-inflammatory macrophages and IL-1β-mediated pathogenic inflammation in PDAC. The accelerated tumor progression by TREM2 depletion can be reversed by blocking IL-1β-associated pathogenic inflammation.

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Gastrointest Endosc

Endoscopic ultrasound guided coil and glue as a first-line treatment for visceral artery pseudoaneurysm: A long term follow-up study with a proposed algorithmic approach.

No recurrence was seen after a median follow of 37 months. EUS-guided coil and glue embolization is an effective first-line procedure for splenic artery pseudoaneurysms.

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Optical enhancement with magnification versus white light endoscopy for detecting gastric intestinal metaplasia and neoplasia: a randomized controlled trial.

The inter-observer agreements of experienced endoscopists were good for both groups, with κ-values of 0.75 and 0.61, respectively. ME-OE showed better performance for detecting GIM than WLE in high-risk populations.

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Physical recovery after local resection of non-pedunculated rectal adenomas and T1 carcinomas: endoscopic submucosal dissection versus transanal minimally invasive surgery.

In terms of mean time to physical recovery, ESD was non-inferior to TAMIS. Post-procedural pain was significantly associated with reduced physical activity.

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Gut

Multiomics analysis of immune correlatives in hepatocellular carcinoma patients treated with tremelimumab plus durvalumab.

Our study provides a blueprint for in-depth analysis of immune correlates in immunotherapy studies and demonstrates the importance of Treg distribution in HCC. NCT02821754 and the EudraCT identifier: 2019-002767-98.

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Purified oat protein can trigger acute symptoms linked to immune activation in coeliac disease patients but not histological deterioration.

Gluten-contamination-free oats can trigger acute dose-dependent immune and symptom responses but usually at a level insufficient to cause sustained symptoms or enteropathy. In 1 of 29 (3%) participants, oat avenin triggered a pro-inflammatory wheat-like response, highlighting that a minority of CD patients may need to exclude oats. Informed choice regarding oats ingestion in CD is important.

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Reparative immunological consequences of stem cell transplantation as a cellular therapy for refractory Crohn's disease.

This study suggests SCT functions as a myeloid-directed cellular therapy reinforcing the critical role of macrophages in refractory CD pathophysiology and as a target for cellular therapies. Furthermore, we report an unrecognised functional heterogeneity among HSC subpopulations in CD that may be relevant to our understanding of CD treatment and pathophysiology.

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Hepatology

Health-related quality of life is impaired in people with autoimmune hepatitis: Results of a multicentre cross-sectional study within the European Reference Network.

People with AIH had impaired HRQoL compared with controls, particularly in terms of physical well-being. HRQoL scores are associated with symptom burden, encompassing both somatic and psychosocial dimensions.

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Liver transplantation for cholestatic liver diseases: Timing & disease recurrence.

A heightened focus on control of inflammatory bowel disease activity is critical as a potentially important modifiable risk factor for rPSC, including with escalation of medical therapy as needed and timely colectomy when indicated. This review outlines the journey for patients with PBC and PSC, from transplant listing to post-transplant management, emphasizing the need for unique and tailored approaches to optimize outcomes and long-term survival.

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J Hepatol

Protein phosphatase 6 regulates metabolic dysfunction-associated steatohepatitis via the mTORC1 pathway.

PPP6C is directly activated by FGF21 via FGFRs/βKlotho and improves MASH features through dephosphorylation of TSC2 in hepatocytes. This study implies that pharmacological approaches, genetic or metabolic factors targeting PPP6C activity may offer attractive prospects for treating liver fibrosis and MASH.

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Unveiling the Molecular Legacy of Transient Insulin Resistance: Implications for Hepatic Metabolic Adaptability.

Seemingly reversible and unnoticed metabolic challenges in early adulthood may predispose the liver to exacerbated metabolic dysfunctions when confronted with chronic challenges later in life.

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Reviews&Editorials

Plenty of the editorials are available as full text through the publisher website using the provided link

Aliment Pharmacol Ther

Editorial: Direct-Acting Agents and Risk of Hepatocellular Carcinoma-The End of Controversy.

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Editorial: Endoscopic Activity is an Essential Tool for Patients' Management, Even in Mild Crohn's Disease.

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Editorial: Examining Perianal Fistulising Crohn's Disease Through the Lens of Wound Repair.

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Editorial: Hyperferritinaemia-An Ironclad Biomarker for the Prognostication of MASLD?

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Editorial: Revolutionising Steatotic Liver Disease Diagnosis With Phosphatidylethanol.

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Editorial: Right-Sizing Colonoscopy Referrals for Patients With Possible Signs and Symptoms of Colorectal Cancer.

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Editorial: The Relevance of Hepatic Flares and Quantitative Hepatitis B Surface Antigen After Stopping HBV Polymerase Inhibitors.

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Editorial: Variceal Bleeding in Patients Receiving Atezolizumab-Bevacizumab for Hepatocellular Carcinoma: Don't Ignore the Risk Factors!

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Review Article: Novel Enzyme Therapy Design for Gluten Peptide Digestion Through Exopeptidase Supplementation.

Enzymes should be stabilised throughout the gastrointestinal tract including the small intestine. Exopeptidases perform a critical function by systematically generating absorbable fractions, warranting future investigation as therapeutic agents. Sensitive and translational biomarkers are needed to better assess enzyme efficacy in real-meal conditions.

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Endosc Int Open

Endoscopic ultrasound gallbladder drainage (EUS-GBD) with LAMS: While we know how to drain we are still questioning who to drain.

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On-site ERCP availability and cholangitis outcomes: Retrospective cohort study.

Patients at ERCP sites compared with non-ERCP sites did not have significantly different mortality. Subgroups of patients with underlying stricturing biliary disease or pancreaticobiliary malignancy and severe cholangitis, who have higher mortality at ERCP sites, warrant further study.

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Safety of intrabiliary radiofrequency ablation in cases of residual and recurrent neoplasia after endoscopic papillectomy.

IB-RFA is relatively safe and efficient in cases of residual or recurrent neoplasia after EP and is an alternative to surgery in well-selected cases. Biliary stricture occurred frequently (50%) but could be managed endoscopically without sequelae in al cases. In cases of pancreatic stenting failure and because of the risk of severe and potentially lethal acute pancreatitis, IB-RFA should be postponed.

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Surveillance colonoscopy after resection of large polyps: Can we reduce loss to follow up?

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Gastroenterology

A Mediterranean diet for Crohn's disease: Embracing colorful diversity to improve the microbiome.

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Gut

Gut microbiota-related neuroinflammation at the crossroad of food reward alterations: implications for eating disorders.

Particular attention is given to eating disorders (ED, specifically anorexia nervosa, binge eating disorder and bulimia nervosa) and potential links with the gut microbiota, food reward alterations and neuroinflammation. Finally, we propose gut microbiota modulation as a promising therapeutic strategy in food reward alterations and ED.

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Miscellaneous

misc publications eg case reports, tools of the trade, images of the month, etc…

Am J Gastroenterol

Correction to: A Case of Dysphagia Megalatriensis.

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Esophageal clear cell carcinoma treated by endoscopic submucosal dissection.

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Metastatic urothelial carcinoma detected by colonoscopy during an evaluation for diarrhea.

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New Barrett's Esophagus after Sleeve Gastrectomy.

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Response to Zhou et al.

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Triple Modality Triumph: Novel Endoscopic Treatment of Complex Ileorectal Anastomotic Stricture.

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Endoscopy

A treatment option for rectal gastrointestinal stromal tumor: endoscopic submucosal dissection combined with endoscopic hand-suturing.

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Cholangioscopy-guided lithotripsy and extraction of gallbladder stones through the natural lumen.

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Colonic stenting plus vascular plug for malignant gastrocolonic fistula.

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Endoscopic retrograde cholangiopancreatography combined with peroral choledochoscope for the treatment of complete bile duct rupture.

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Endoscopic ultrasound-guided hepaticogastrostomy using a novel double-lumen tapered dilator combined with a 22-G needle.

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Innovative endoscopic device for efficient management of a giant gastric bezoar.

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Laparoscopic and endoscopic cooperative surgery for a gastrointestinal stromal tumor.

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Multi-hole metal stent can prevent cystic and pancreatic duct obstruction during endoscopic ultrasound-guided antegrade stenting combined with hepaticogastrostomy.

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Screw stent removal technique using a novel grasping device after inside plastic stent deployment for hilar biliary obstruction.

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Gastroenterology

Domain-specific effects of sucrase-isomaltase genotype in irritable bowel syndrome.

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The MODY-causing mutation of the human carboxyl ester lipase gene (CEL) triggers chronic pancreatitis but not diabetes in mice.

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The Thing Itself: Medicine as Craft.

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Gastrointest Endosc

Potential indications for peranal endoscopic myectomy in lower rectal cancer.

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Top Tip: Management of esophageal varices not responsive to endoscopic variceal ligation.

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Gut

Risk of metachronous advanced neoplasia in patients with serrated lesions depending on follow-up schedule.

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Hepatology

Deep learning: Cracking the metabolic code.

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Divergent trends in cirrhosis and liver cancer highlight the ongoing efforts required for hepatitis elimination.

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Letter to the Editor: Dynamics in liver stiffness to assess response in MASLD patients treated with resmetirom - one piece of the puzzle?

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Letter to the Editor: Optimizing MASLD treatment - A "lead-in phase" before resmetirom.

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Letter to the editor: Alcohol a confounding factor in assessment of resmetirom therapy.

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Letter to the editor: Liver transplantation for primary and secondary liver tumours-patient-level meta-analyses compared to UNOS conventional indications.

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More than a lark? LRRK2 inhibitors to treat alpha-1 antitrypsin deficiency.

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Non-Invasive liver disease assessment.

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Reply: AASLD Resmetirom Guidance.

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Reply: Liver transplantation for primary and secondary liver tumors - patient level meta-analyses compared to UNOS conventional indications.

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Revealing new biomarker to predict MASLD progression.

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Trapped in fibrosis: How neutrophil extracellular traps drive HSC activation.

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J Hepatol

Expression of concern to "Nitric oxide mimics transcriptional and post-translational regulation during α-Tocopherol cytoprotection against glycochenodeoxycholate-induced cell death in hepatocytes" [J Hepatol. 2011 Jul;55(1):133-44].

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From the Editor's Desk..

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Letters&Replies

Letters to the editors and authors’ replies

Aliment Pharmacol Ther

Editorial: Hyperferritinaemia-An Ironclad Biomarker for the Prognostication of MASLD? Authors' Reply.

Pubmed   Journal   ReadQx 

Editorial: Revolutionising Steatotic Liver Disease Diagnosis With Phosphatidylethanol-Authors' Reply.

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Editorial: The Relevance of Hepatic Flares and Quantitative Hepatitis B Surface Antigen After Stopping HBV Polymerase Inhibitors-Authors' Reply.

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Editorial: Variceal Bleeding in Patients Receiving Atezolizumab-Bevacizumab for Hepatocellular Carcinoma-Don't Ignore the Risk Factors! Authors' Reply.

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Letter on 'Head-To-Head Comparison Between Phosphatidylethanol Versus Indirect Alcohol Biomarkers for Diagnosis of MetALD Versus MASLD: A Prospective Study' Authors' Reply.

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Letter on 'Head-to-Head Comparison Between Phosphatidylethanol Versus Indirect Alcohol Biomarkers for Diagnosis of MetALD Versus MASLD: A Prospective Study'.

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Letter: Clinical Trial: Treatment of Functional Dyspepsia According to Subtype Compared With Empirical Proton Pump Inhibitor.

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Letter: Clinical Trial: Treatment of Functional Dyspepsia According to Subtype Compared With Empirical Proton Pump Inhibitor: Authors' Reply.

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Letter: Lubiprostone-A Novel Therapeutic Avenue for Gastrointestinal Complications in MASLD.

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Letter: Lubiprostone-A Novel Therapeutic Avenue for Gastrointestinal Complications in MASLD. Authors' Reply.

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Letter: The Hidden Truth of IBD Risk-From Antibiotics to Environmental Factors.

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Gastroenterology

Further Considerations on Dual Targeting of Syndecan-1 and Glucose Transporter-1 in Pancreatic Ductal Adenocarcinoma.

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J Hepatol

Response to Zhang et al.: Evaluating Clinical Utility of CT DNA Monitoring for Recurrence Prediction in Resected Extrahepatic Cholangiocarcinoma.

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